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99497 Advncd care plan 30 minutes

E&M

Also known as: advance care planning, end-of-life counseling

Advanced care plan development and counseling service for patient with serious illness (terminal condition, progressive neurological disease) for first 30 minutes.

Clinical Context

Used when physician conducts comprehensive discussion with patient regarding advance directives, goals of care, and end-of-life preferences.

RVU Breakdown

Work RVU1.50
Practice Expense RVU1.01
Malpractice RVU0.09
Total RVU2.60

Est. Medicare Payment

$86.84

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Palliative CareInternal MedicineFamily Medicine

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.